Table 2.

Summary of themes on patient experiences with full record access.

Theme 1: Perceived enhanced communication with providers and health care teams
	Supplements in-person communication
	Improved recall of appointments
	More prepared for encounters with providers
	Greater ability to share information with non-VA providers
Theme 2: Perceived improved patient knowledge and self-care
	Improved understanding of health issues
	Greater insight into provider assessments and recommendations
	Improved sense of control of health issues
	Prompt to use the Internet to understand information
Theme 3: Perceived greater patient participation in care
	Prompt to remind health care team for appropriate care or follow-up
	More engaged to discuss health and health care issues
	More able to participate in decisions if care is needed or not
Theme 4: Perceived challenges from viewing records and electronic documentation
	Stress related to information not routinely disclosed
	Concern about language in notes
	Inconsistencies or errors in documentation
	Observations on electronic records and PHR technical problems